NURS 3000 Exam 2 Study Questions with Already Graded A+ Answers

NURS 3000 Exam 2 Study Questions with Already Graded A+ Answers 1. In Maslow's hierarchy what receives highest priority? - ANSWER physiologic needs such as air, food, and water 2. Before making modifications, the nurse must determine the _______________ of the plan as a whole. - ANSWER effectiveness 3. Independent nursing interventions to help clients manage stress and anxiety - ANSWER guided imagery, deep breathing exercises, active listening, promote rest, encourage journaling or other activities that may be calming 4. Ethical problems/dilemmas examples - ANSWER triage, whistle blowing, incompetent physician 5. What do ethical dilemmas usually result from? - ANSWER conflicting values 6. Importance of values clarification process by the client - ANSWER help patient discover new/revised value system after illness/injury; propose appropriate interventions to fit patient's value system 7. Teleology - ANSWER consequences determine right/wrong 8. Example of teleology - ANSWER ns withholds the truth from a pt about his prognosis because she worries it will cause him significant distress 9. Utilitarianism - ANSWER value determined by usefulness le of utilitarianism - ANSWER triage, research funding 11.Deontology - ANSWER follow rules/guiding principles; universalize them, regardless of outcomes 12.Example of deontology - ANSWER "Do not lie"- ns carefully and truthfully answers a patient's question about their prognosis 13.Intuition - ANSWER inherent knowledge of right/wrong 14.Example of intuition - ANSWER ns decides course of action for a specific pt based on a prior experience 15.Caring - ANSWER prioritizes relationship 16.Example of caring as a decision-making framework - ANSWER elderly pt doesn't want a surgery that family is pushing for, and the ns works to preserve relationship with pt 17.How to help clients clarify their values - ANSWER open-ended questions; listen without judgment; encourage reflection 18.Modeling- what is an example of a situation that illustrates this? - ANSWER a nurse demonstrates appropriate attitudes or behaviors, allowing patients and their families to learn through observation 19.How can nurses most effectively improve their decision-making skills related to ethical situations? - ANSWER clarify own values; think ahead about potential ethical dilemmas; observe others' responses 20.Example of autonomy - ANSWER informed consent 21.Example of justice - ANSWER dividing time among pt 22.Example of beneficence - ANSWER advocating for pt to have change in pain management plan 23.Non maleficence - ANSWER do no harm 24.Example of non maleficence - ANSWER requesting the doctor to stop a medication that has proven to be harmful 25.Call HCP about implementing fiber-rich foods into the patient's diet. - ANSWER Nursing orders should be independent actions of the nurse. Include at least one fiber-rich food on each meal tray. How could this nursing intervention be corrected? Monitor vital signs every 2 hours. - ANSWER Too vague 26."Monitor vital signs every 4 hours and PRN. Notify HCP if systolic BP 90 mmHg or HR 120 bpm." 27.How could this nursing intervention be corrected? Assist with ambulation. - ANSWER Needs to be more specific 28."Assist patient with ambulation three times daily using a gait belt and walker." How could this nursing intervention be corrected? Encourage fluid intake. - ANSWER Needs to be measurable "Encourage oral fluid intake to 2000 mL/day." 29.Purpose of implementation/taking action phase of clinical reasoning/judgment process - ANSWER decrease or eliminate causal, contributing, or risk factors; relieve symptoms